• Title/Summary/Keyword: 흡인

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Wall-Suction Assisted Vacuum Sealing for Treatment of Infected Diabetic Foot Ulcer (벽매립형 중앙 흡인장치를 이용한 감염성 당뇨병성 족부 궤양의 밀봉 치료)

  • Bae, Su-Young;Lee, Chang-Wook;Seo, In-Seock
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.26-30
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    • 2004
  • Purpose: The infected diabetic foot patients were reviewed to analyze the result of new dressing methods using a wall-suction instruments. Materials and Methods: Eighteen patients treated with wall-suction assisted vacuum dressing were included. After debridement under local anesthesia, a sponge pad, a drain, and a surgical drape were used to seal the wound. Negative pressure applied by the wall-suction at around 200 mmHg and dressing were repeated in every two to three days. The results of repeated wound cultures, growth of granulation tissues, and CRP level were closely observed on the regular basis. Results: Rapid growth of granulation tissues was noticed around the wound in 16 cases. No organism was obtained in an average 5 days and wound coverage was possible in an average 18 days. The CRP level returned to normal in an average 4 weeks. Two patients with end stage renal disease, who were regularly hemodialised, underwent major amputation. Conclusion: New dressing method has the following advantages: a rapid wound improvement in the patients with infected diabetic foot, less expensive, less painful, impediment of bacterial contamination in the hospital room. However, further study will be needed for the end stage renal disease patients.

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Investigation of the Performance of Anti-Icing System of a Rotorcraft Engine Air Intake (회전익기 공기흡입구 주위 방빙장치 성능 해석)

  • Ahn, Gook-Bin;Jung, Ki-Young;Jung, Sung-Ki;Shin, Hun-Bum;Myong, Rho-Shin
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.41 no.4
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    • pp.253-260
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    • 2013
  • Ice accretions on the surface around a rotorcraft air intake can deteriorate the safety of rotorcraft due to the engine performance degradation. The computational simulation based on modern CFD methods can be considered extremely valuable in analyzing icing effects before exact but very expensive icing wind tunnel or in-flight tests are conducted. In this study the range and amount of ice on the surface of anti-icing equipment are investigated for heat-on and heat-off modes. It is demonstrated through the computational prediction and the icing wind tunnel test that the maximum mass and height of ice of heat-on mode are reduced about 80% in comparison with those of heat-off mode.

Treatment of Suprascapular Cyst by Ultrasound Guided Aspiration - A Case Report - (초음파 유도 흡인을 이용한 견갑 상 낭종의 치료 - 증례보고 -)

  • Lee, Hyo-Jin;Kim, Yang-Soo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.41-45
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    • 2012
  • Among the various reasons that can cause entrapment of suprascapular nerve, suprascapular cyst is not commonly found and more often, overlooked or misdiagnosed. Authors experienced one case of suprascapular cyst causing suprascapular nerve entrapment confirmed by ultrasonography and MRI. Symptom of the patient was confined to infrascapular nerve. Percutaneous aspiration of cyst was done under the guidance of ultrasonography through Neviaser portal on out-patient department. After 8 weeks of follow-up, no recurrent lesion was found and objective functional improvement was identified. When clinicians confront with the symptoms compatible with suprascapular nerve entrapment, every effort should be put on finding lesion under ultrasonography before attempting any further cost-ineffective or time-wasting evaluation. Symptoms caused by space-occupying cyst will be soothed by simple decompression. However, always be aware of concomitant lesions that might be the reason for the cystic lesion and in some cases, further evaluation is inevitable.

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Comparison of Glucose Concentration of Tracheal Secretions by Measuring Times and Feeding Methods in Enterally Fed Patients (폐흡인군과 비폐흡인군의 측정 시간대 별 기관분비액 당농도와 경장영양액 제공 방법 비교)

  • Kim, Hwa Soon;Yoon, Mi Ja
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.718-726
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    • 2006
  • Purpose: The purpose of this study was to investigate differences between a pulmonary aspiration group and a non-pulmonary aspiration group in glucose concentration of tracheal secretions by measuring time and feeding methods. Method: The subjects were 36 ICU patients who were receiving formula via nasogastric tubes and had endotracheal tubes or tracheostomy tubes. Tracheal secretions were collected by connecting suction traps to a suction catheter in three different times(within 1 hour after feeding, between 1 to 2 hours after feeding, and between 2 to 3 hours after feeding) for 2 days, overall six times. Glucose concentration of tracheal secretions was measured with the glucometer(Accucheck II). Results: Glucose concentration of tracheal secretions increased in progression after feeding. The mean of specimens collected last(between two to three hours after feeding) was shown to be the highest value(M=61.61mg/dl) in the pulmonary aspiration group. Significantly(p=.000) more subjects(94.44%) in the pulmonary aspiration group received formula via a 50cc syringe than those in the non-pulmonary aspiration group(22.22%). Conclusion: Critically ill patients may need more time for head-elevation after tube feeding to prevent pulmonary aspiration. In practice, enteral formula should not be given the patients via a $50_cc$ syringe anymore, instead a feeding bag or infusion pump should be used to prevent pulmonary aspiration.

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Survey on the Kinds of the Fruit Sucking Moths and their Damages in Korea (II) (과실흡아류의 종류와 피해에 관한 조사연구(II))

  • Lee Seung Chan;Yoo Jae Ki;Yoo Chang Young
    • Korean journal of applied entomology
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    • v.9 no.2
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    • pp.99-102
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    • 1970
  • The present further survey is carried out to clarify the unidentified kinds of the fruit sucking moths and these damages at Suwon and Jinju fruit growing areas, in order to set up the basis of the control for the harmful moths. It was known that 10 species be recorded up to 1968 11 and, in addition, identified 4 species in 1969, such as Apatele rumicis oriens S., Leucania separate W., Scoliopteryx libatrix L. and Anomis flava F. of the fruit sucking moths in Korea. The damage ratio ib percentage of the noxious moths if $5.1\%$ on grape in Suwon and $11.8\%$ on Pears in Jinju in 1969, although it was $8.9\%$ in Suwon and 3.4\%$ in Jinju in 1968.

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Unsaturated Permeability Characteristics of Silty Sand on the Nak-dong River (낙동강 실트질 모래에 대한 불포화 투수특성)

  • Kim, Young-Su;Shin, Ji-Seop
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.1C
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    • pp.7-16
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    • 2012
  • In this paper, using the principle of Static Measurement Methods suggested by Huang (1998), a new experimental device has been made and used in order to calculate the unsaturated permeability of Nak-dong river sand with silt which is an important basic property in the unsaturated soil. This device was designed to measure changes of the unsaturated permeability according to the increase of matric suction. The value of the unsaturated permeability obtained in testing and that obtained using the empirical permeability functional formula were compared and analyzed. As a result, the value of the unsaturated permeability tends to be decreased according to the increase of relative density, silt content and matric suction. This tendency shows it is very closely related to the change of moisture content and void ratio. The empirical permeability functional formula presented by Frelund & Xing (1995) was regarded as the most appropriate model to represent the unsaturated permeability of Nak-dong River silty sand.

A study on the characteristics of high frequency road noise transmission at the rear seat of a hatch back compact car using PBNR (Power Based Noise Reduction) method (파워기반 소음감소 기법을 이용한 준중형 해치백 후석 고주파성 로드노이즈 전달특성 연구)

  • Lee, Jonghyun;Cho, Sehyun;Yi, Juwan;Lee, Chulhyun;Yang, Jungmin
    • The Journal of the Acoustical Society of Korea
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    • v.37 no.4
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    • pp.248-255
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    • 2018
  • It is known that the road noise on the rear seat of a hatchback type car is worse than that of a sedan type car because of the weakness on sealing structure. Therefore, a sound sealing system and sufficient absorption/insulation performance are required. In the case of a compact segment car, however, the application of the sufficient absorption and insulation materials is limited, because of the restriction on the production cost and weight of the car. In this study, we estimate the noise transmission path on the vehicle's body structure from tires and ground using the PBNR (Power Based Noise Reduction) method which is useful in quantitative measurement. Based on these results, we suggest an alternative absorption/insulation method for the better performance of rear seat road noise reduction in a compact hatchback car.

The Treatment of Massive Spontaneous Subcutaneous Emphysema by Multiple Intravenous Catheter and Continuous Suction Drainage (다수의 정맥용 도관의 피하삽입과 지속흡인을 이용한 다량의 자발성 피하공기증 치료 1예)

  • Kim, Sun Young;Uom, Kwang Seok;Lee, Young Seok;Huh, Kyung Rim;Kwon, Chin Woo;Jang, Seung Hun;Kim, Dong Gyu;Jung, Ki Suck
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.2
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    • pp.178-183
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    • 2006
  • A-61-year-old COPD patient was hospitalized due to dyspnea and was diagnosed with acute exacerbation of COPD. During the hospital stay, the patient's dyspnea was aggravated by massive spontaneous subcutaneous emphysema. Multiple 16 gauge intravenous catheters were inserted at the midclavicular line for drainage. Although subcutaneous catheter drainage was carried out, respiratory failure developed with an increased in massive subcutaneous emphysema. Continuous suction drainage with wall suction was applied resulting in the rapid resolution of the subcutaneous emphysema. We report a case of the that effective management of massive subcutaneous emphysema using multiple 16 gauge intravenous catheters with continuous suction.

A Study on Nurses' Ability to Perform Endotracheal Suction (중환자실 간호사의 기관내 흡인 실태)

  • Park Hyun-Ju;Choi Young-A;Kim Kyoung-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.379-390
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    • 2001
  • The purpose of this study was to survey the ability of nurses to perform endotracheal suction to provide basic data on correct endotracheal suction. The participants in this study were 181 intensive care unit nurses in two university hospitals and one general hospital located in Daegu, one university hospital and two general hospitals located in Pohang, one university hospital located in Gyeongju. These data were collected from February 1, 2001 to March 10, 2001 using self reported questionnaires. The study instrument, which was developed by these investigators, included questions on general characteristics and performance of endotracheal suction. The results of this study are as follows : 1. Of the Participants 71.3% recognized correct endotracheal suctioning and 23.2% did not. 2. The greatest number, 57.5%, acquired knowledge about endotracheal suctioning at conferences on practice or education for staff. 3 There were significant differences in scores on performance of endotracheal suction according to department (F=2.60, P=.05) and hospitals (F=3.24, p=.01) among the general characteristics. 4. Slightly less than half of the participants, 47.8%, averaged correct scores for endotracheal suctioning procedures. Ventilator $O_2$ supply had the highest score (84.0%), normal saline exchange time, the lowest (14.4%) From the results, we suggest that education is needed to increase the knowledge and correct performance of endotracheal suction. Further study including direct observation of Performance of endotracheal suction is also needed.

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The Impact of Different Endotracheal Suction Methods on Respiratory Function: Normal Saline with Chest Vibration vs Normal Saline with Expectorant Mixture (기관내 흡인방법에 따른 호흡기능의 차이)

  • Cho, Hyo-Im;Lee, Young-Whee;Ham, Ok-Kyung;Lim, Ji-Young
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.209-218
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    • 2008
  • Purpose: Regarding the respiratory function of patients with an artificial airway, this study compared the effects between normal saline with chest vibration and normal saline with expectorant mixture, administered before endotracheal suction. Methods: The study was conducted in the ICUs of one university hospital located in Incheon. The experimental group I received normal saline with chest vibration administered before endotracheal suction while the experimental group II received normal saline with expectorant mixture administered before endotracheal suction. For respiratory function, $PaO_2$, $PaCO_2$, and $O_2$ saturation were measured by ABGA at 3 minutes after endotracheal suction for both pre-test and post-test. Results: The two groups were not different significantly regarding $PaO_2$ level and $O_2$ saturation after the treatments, while, the experimental group II had lower $PaCO_2$ level than the experimental group I after the treatments (t = 2.075, p = .042). For experimental group II, post-test score of $PaCO_2$ level was significantly lower than that of the pre-test score (t = 1.842, p = .075). Conclusion: The administration of normal saline with expectorant mixture before endotracheal suction reduced $PaCO_2$ level and improved the respiratory function.

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